Centre for Policy on Ageing
 

 

Cumulative exposure to neighborhood context
 — consequences for health transitions over the adult life course
Author(s)Philippa Clarke, Jeffrey Morenoff, Michelle Debbink
Journal titleResearch on Aging, vol 36, no 1, January 2014
PublisherSage, January 2014
Pagespp 115-142
Sourceroa.sagepub.com
KeywordsNeighbourhoods, communities etc ; Health [elderly] ; Transitional phase ; Ill health ; Correlation ; Longitudinal surveys ; United States of America.
AnnotationOver the last two decades, research has assessed the relationship between neighbourhood socioeconomic factors and individual health. However, existing research is based almost exclusively on cross-sectional data, ignoring the complexity in health transitions that may be shaped by long-term residential exposures. The authors examine these limitations by specifying distinct health transitions over multiple waves of the Americans Changing Lives (ACL) survey, a 15-year study of American adults. They focus on transitions between a hierarchy of health states, (free from health problems, onset of health problems, and death), not just gradients in a single health indicator over time, and use a cumulative measure of exposure to neighbourhoods over adulthood. They find that cumulative exposure to neighbourhood disadvantage has significant effects on functional decline and mortality. Research ignoring a person's history of exposure to residential contexts over the life course runs the risk of underestimating the role of neighbourhood disadvantage on health. (RH).
Accession NumberCPA-150626280 A
ClassmarkRH: CC: 4MT: CH: 49: 3J: 7T

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